P-2-10-02
A STUDY OF CEREBRAL PERFUSION USING Tc-99m BRAIN SPECT IN CEREBRAL PALSY
Eun-Seok Choi, Seung-Han Yang, Sae-Yoon Kang, Yong-Seog Kim, Si-Weon Kang (The Catholic University of Korea, Seoul, Korea)
Abstract: IN this study we used a single photon emission computed tomography (SPECT) technique with radiolabelled Tc-99m HMPAO to assess cerebral perfusion in patients with cerebral palsy (CP) and to determine if the brain SPECT might be a complementary tool for neurologic assessment in CP.
A total of 33 patients (19 girls, 14 boys; age 4-48 months) with the following clinical types were enrolled: spastic tetraplegia (n=10); spastic diplegia (n=8); spastic right hemiplegia (n=5); spastic left hemiplegia (n=4); atonic (n=3); mixed(n=3); and athetoid (n=l). SPECT studies were analyzed into two steps. First, differences between right and left hemispheric distribution of the tracer were estimated. Second, to detect bilateral and symmetric reduction of cerebral blood flow, anteroposterior hemispheric distribution of the tracer was analyzed.
Right to left ratio and regional index in transverse view showed significant difference of the tracer in patients with left hemiplegia but not in those of right hemiplegia who were all mild in severity. In medio-sagittal view, significant reduction of the tracer was noted at sensori-motor cortex of the spastic tetraplegia when compared to that of cerebellar one. Results suggest that Tc-99m HMPAO brain SPECT be a valuable tool for thorough neurologic assessment in cerebral palsy.
P-2-10-03
ELECTRIC-FUNCTIONAL THEORY OF DEVELOPMENT OF CHRONIC DISEASES AND CEREBRAL PALSY
Alexunder I. Suhanov (Rehabilitation Centre of Dr Suhanov, St. Petersburg, Russia)
We do not have the science about helth. I offer the electric-functional conception of development of chronic diseases. As it may seem strange, but today not taken into account the basic disturbances which arise on developing of any disease: acute or chronic. These are electrodinamical disturbances, arising on the first step of development of disease. As a rule it is happened on the level of interverterbralis ganglion. We developed new methods of treatment of various diseases with necessary inclusion of correction of electric-functional disturbances. The obtained results give us the possibility to say about qualitative new period of development of medicine in 21st century.
